Individual
BARBARA J AXBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3467 W SHAW AVE, SUITE #102, FRESNO, CA 93711-3223
(559) 274-0299
Mailing address
8073 N ROWELL AVE, FRESNO, CA 93720-2323
(559) 274-0299
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN196368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100431
STAFF ID NUMBER
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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